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Impulsivity and clinical symptoms among adolescents with non-suicidal self-injury with or without attempted suicide.
Psychiatry Res 2009; 169(1):22-7PR

Abstract

This study examined clinical characteristics and laboratory-measured impulsive behavior of adolescents engaging in either non-suicidal self-injury with (NSSI+SA; n=25) or without (NSSI-Only; n=31) suicide attempts. We hypothesized that adolescent with NSSI+SI would exhibit more severe clinical symptoms and higher levels of behavioral impulsivity compared to adolescents with NSSI-Only. Adolescents were recruited from an inpatient psychiatric hospital unit and the two groups were compared on demographic characteristics, psychopathology, self-reported clinical ratings, methods of non-suicidal self-injury, and two laboratory impulsivity measures. Primary evaluations were conducted during psychiatric hospitalization, and a subset of those tested during hospitalization was retested 4-6 weeks after discharge. During hospitalization, NSSI+SA patients reported worse depression, hopelessness, and impulsivity on standard clinical measures, and demonstrated elevated impulsivity on a reward-directed laboratory measure compared to NSSI-Only patients. In the follow-up analyses, depression, hopelessness, suicidal ideation, and laboratory impulsivity were improved for both groups, but the NSSI+SA group still exhibited significantly more depressive symptoms, hopelessness, and impulsivity than the NSSI-Only group. Risk assessments for adolescents with NSSI+SA should include consideration not only of the severity of clinical symptoms but of the current level impulsivity as well.

Authors+Show Affiliations

Neurobehavioral Research Laboratory and Clinic, Department of Psychiatry, The University of Texas Health Science Center at San Antonio, TX 78229-3900, USA. doughertyd@uthscsa.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19631392

Citation

Dougherty, Donald M., et al. "Impulsivity and Clinical Symptoms Among Adolescents With Non-suicidal Self-injury With or Without Attempted Suicide." Psychiatry Research, vol. 169, no. 1, 2009, pp. 22-7.
Dougherty DM, Mathias CW, Marsh-Richard DM, et al. Impulsivity and clinical symptoms among adolescents with non-suicidal self-injury with or without attempted suicide. Psychiatry Res. 2009;169(1):22-7.
Dougherty, D. M., Mathias, C. W., Marsh-Richard, D. M., Prevette, K. N., Dawes, M. A., Hatzis, E. S., ... Nouvion, S. O. (2009). Impulsivity and clinical symptoms among adolescents with non-suicidal self-injury with or without attempted suicide. Psychiatry Research, 169(1), pp. 22-7. doi:10.1016/j.psychres.2008.06.011.
Dougherty DM, et al. Impulsivity and Clinical Symptoms Among Adolescents With Non-suicidal Self-injury With or Without Attempted Suicide. Psychiatry Res. 2009 Aug 30;169(1):22-7. PubMed PMID: 19631392.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impulsivity and clinical symptoms among adolescents with non-suicidal self-injury with or without attempted suicide. AU - Dougherty,Donald M, AU - Mathias,Charles W, AU - Marsh-Richard,Dawn M, AU - Prevette,Kristen N, AU - Dawes,Michael A, AU - Hatzis,Erin S, AU - Palmes,Guy, AU - Nouvion,Sylvain O, Y1 - 2009/07/23/ PY - 2007/04/10/received PY - 2007/12/17/revised PY - 2008/06/12/accepted PY - 2009/7/28/entrez PY - 2009/7/28/pubmed PY - 2009/10/7/medline SP - 22 EP - 7 JF - Psychiatry research JO - Psychiatry Res VL - 169 IS - 1 N2 - This study examined clinical characteristics and laboratory-measured impulsive behavior of adolescents engaging in either non-suicidal self-injury with (NSSI+SA; n=25) or without (NSSI-Only; n=31) suicide attempts. We hypothesized that adolescent with NSSI+SI would exhibit more severe clinical symptoms and higher levels of behavioral impulsivity compared to adolescents with NSSI-Only. Adolescents were recruited from an inpatient psychiatric hospital unit and the two groups were compared on demographic characteristics, psychopathology, self-reported clinical ratings, methods of non-suicidal self-injury, and two laboratory impulsivity measures. Primary evaluations were conducted during psychiatric hospitalization, and a subset of those tested during hospitalization was retested 4-6 weeks after discharge. During hospitalization, NSSI+SA patients reported worse depression, hopelessness, and impulsivity on standard clinical measures, and demonstrated elevated impulsivity on a reward-directed laboratory measure compared to NSSI-Only patients. In the follow-up analyses, depression, hopelessness, suicidal ideation, and laboratory impulsivity were improved for both groups, but the NSSI+SA group still exhibited significantly more depressive symptoms, hopelessness, and impulsivity than the NSSI-Only group. Risk assessments for adolescents with NSSI+SA should include consideration not only of the severity of clinical symptoms but of the current level impulsivity as well. SN - 0165-1781 UR - https://www.unboundmedicine.com/medline/citation/19631392/Impulsivity_and_clinical_symptoms_among_adolescents_with_non_suicidal_self_injury_with_or_without_attempted_suicide_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-1781(08)00178-9 DB - PRIME DP - Unbound Medicine ER -